Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | CHI009419 | GA |
NPI | 1003206467 |
---|---|
Provider Name | Dr. Satoko Kanai |
First Address | Atlanta, GA 30341-4221 |
Second Address | Atlanta, GA 30341-4221 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/01/2015 |
Last Update Date | 23/01/2015 |